Individual
DR. BRIAN E PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 CARONDELET DR, KANSAS CITY, MO 64114-4859
(816) 941-0000
(816) 941-3146
Mailing address
11809 HIGH DRIVE, LEAWOOD, KS 66211
(913) 338-1056
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14979
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6060
KS
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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